Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Anh Koichi, DO

Individual provider Psychiatry Physician · NPI 1952988982

Jacqueline Anh Koichi, DO is a Psychiatry in Portland, Oregon. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (504) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8329 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-2215 — (971) 983-5214

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence DO224315 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OR)

Record details

NPI number1952988982
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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